DONALD GRATTON DOWNS MD.
NPI 1568451979
Family Medicine in Simi Valley, CA

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
2655 1ST ST, SIMI VALLEY, CA 93065(805) 206-2000(805) 577-1270 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donald Gratton Downs Md. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD GRATTON DOWNS MD. (NPI 1568451979) is an individual family medicine provider in Simi Valley, California, licensed in California (G61850) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (1986).

NPPES Registry Identity

NPI1568451979
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDONALD GRATTON DOWNSCredential: MD.
Location Address2655 1ST STSimi Valley, CA 93065-1547
Mailing AddressPo Box 9602Mission Hills, CA 91346-9602 · (818) 837-5691 · Fax (818) 792-4793
Fax(805) 577-1270
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 1986
Enumeration DateOctober 18, 2005
Last NPPES UpdateApril 3, 2014
NPI 1568451979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G61850
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2655 1ST ST, Simi Valley, CA 93065

Other Identifiers 3

Medicare PINBO612YCA
Medicaid00G618500CA
Medicare UPINE92837

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Donald Gratton Downs Md. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739100306
PECOS Enrollment IDI20051209000774
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
163 services89 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
111 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services62 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
25 services25 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$95.28 typical visit price
range $62.32 – $185.36
Typical copayment $23.82 (range $15.58 – $46.34)
Most-billed visit code 99203
Established Patient
$108.74 typical visit price
range $20.68 – $151.85
Typical copayment $27.18 (range $5.17 – $37.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims26 services$5.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
2655 1ST ST, STE 250
SIMI VALLEY, CA 93065
Specialist/Technologist, Other (Electroneurodiagnostic)
2655 1ST ST, SUITE 250
SIMI VALLEY, CA 93065
Nursing Care
2655 1ST ST, 135
SIMI VALLEY, CA 93065
Family Medicine
2655 1ST ST, #325
SIMI VALLEY, CA 93065
Audiologist
2655 1ST ST, SUITE # 170
SIMI VALLEY, CA 93065
Pediatrics
2655 1ST ST, #325
SIMI VALLEY, CA 93065
Family Medicine
2655 1ST ST, SUITE 360
SIMI VALLEY, CA 93065
Internal Medicine
2655 1ST ST
SIMI VALLEY, CA 93065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Donald Downs's NPI number?

The NPI number for Donald Downs is 1568451979. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Donald Downs located?

Donald Downs practices at 2655 1st St, Simi Valley, CA 93065. The listed phone number is (805) 206-2000.

What is Donald Downs's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Donald Downs enrolled in Medicare?

Yes. Donald Downs is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Donald Downs was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.